Inspection·December 10, 2024

F 0602 Protect each resident from the wrongful use of the resident's belongings or money. Level of Harm - Minimal harm or potential for actual harm Based on record review, Self-Reported Incident (SRI) review, police report review, policy review, and interview, the facility failed to prevent the exploitation of Resident #33 by an employee. This affected one (Resident #33) of three residents reviewed for abuse. Residents Affected - Few Findings include: Review of the medical record for Resident #33 revealed an admission date of 07/31/24. Diagnoses included hemiplegia and hemiparesis following cerebral infarction affecting the non-dominant left side, dysphagia (difficulty swallowing), personality disorder, and mild cognitive impairment. Review of the quarterly Minimum Data Set (MDS) assessment, dated 11/05/24, revealed Resident #33 had intact cognition and was independent for bed mobility, transfers, and eating. Review of the plan of care dated 11/22/24 revealed Resident #33 had problematic behavior characterized by inappropriate sexual behavior including making inappropriate remarks and attempting to touch other residents and staff. Review of SRI #254363 with a creation date of 11/22/24 revealed on 11/21/24 at around 12:00 P.M. there was an incident between Resident #33 and Kitchen Aide (KA) #206. KA #206 alleged that Resident #33 rode his wheelchair into the staff and started to grope her. Upon further investigation Resident #33 had KA #206's number on his phone and naked pictures of her. Upon interviewing Resident at 11:45 A.M. on 11/22/24, he said that he had given KA #206 $175 and KA #206 had made it clear that if he would give her $300 she would have sex with him. Resident #33 made it clear that there was no physical contact of any kind, and the money was sent to her by his brother and a friend. The allegation of sexual abuse, misappropriation was substantiated. Review of the facility's investigation initiated on 11/21/24 revealed KA #206 and Resident #33 exchanged personal text messages. The messages dated 10/19/24 through 10/26/24 revealed KA #206 and Resident #33 sending flirtatious texts to each other. KA #206 asked for money via cash app a couple of times. According to the text, Resident #33 sent KA #206 40.00 dollars. KA #206 replied I thought you were sending 100.00 dollars? KA #206 sent Resident #33 a naked picture of her genital area and stated that more pictures would come later. Further review of the investigation revealed Resident #33 involved his brother asking him to transfer money to KA #206. Review of the police report dated 11/22/24 revealed the caller requested to speak with an officer about a possible elder abuse from an employee. The employee was identified as KA #206 and the victim was identified as Resident #33. It was noted the employee was not on the scene. The report indicated Resident #33 had a stroke and was very difficult to understand. Resident #33 stated that KA #206 (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 365705 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 365705 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/10/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Aventura at Walton Hills 19859 Alexander Rd Walton Hills, OH 44146 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)